Carl A Mortiz Jr Mbr

LBN: Crossroads Medical Center Llc
Carl A Mortiz Jr Mbr is an health care organization with primary practice located at 2760 29Th St. Suite 28, Boulder CO 80301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Crossroads Medical Center Llc can be contacted via phone (303) 444-6400, or through Moritz, Carl A. via phone (303) 444-6400.

Contact Information

Primary practice address
2760 29Th St. Suite 28 Boulder CO 80301
Phone: (303) 444-6400
Fax: (303) 444-6465
Website:
Map and Directions
Authorized official contact:
Name: Moritz, Carl A. Doctor of Medicine (MD)
Phone: (303) 444-6400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1164048161
LBN Legal business name Crossroads Medical Center Llc
DBA Doing business as Carl A Mortiz Jr Mbr
Authorized official Moritz, Carl A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2020
Last updated Aug 16th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164048161 NPPES
Colorado MEDICAID 0126399

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